University of Texas at Austin, School of Social Work & Population Research Center, 1925 San Jacinto Blvd, Austin, TX, 78712, United States.
Children and Family Futures, United States.
J Affect Disord. 2018 Feb;227:580-587. doi: 10.1016/j.jad.2017.10.046. Epub 2017 Oct 31.
Roughly 8% of the U.S. population report moderate or severe depression for two or more weeks and Latinos (3.7%) report higher rates of severe depression compared to non-Hispanic whites (2.6%) (Pratt and Brody, 2014). As the Latino population continues to grow in the U.S., there is little research on the manifestations for depression, and how this affects the family system longitudinally.
Based on data from the Fragile Families and Child Wellbeing Study, a 3-step latent class analysis examined the association of self-reported parental depressive symptoms and their children's perceived levels of closeness and openness to communicate with their parents over 9 years (N=3956 families).
Latino parents reported four different depressive patterns, while non-Hispanic parents were more diversified and had six patterns in terms of latent class analysis. Latinos reported episodic symptoms, while NH parents were more likely to report chronic depressive symptoms over time. Regardless of race/ethnicity, parental depressive symptoms negatively affected their children's reported level of parental closeness and openness to communicate with mothers and fathers.
As with any self-report data, the risk of social desirability bias is likely still present. Additionally, these results cannot be generalized to the broader U.S.
Due to the different mental health presentations over 9 years, and following the federal initiatives (National Institute of Mental Health, 2015) of early and consistent surveillance, we advise that clinicians and primary care physicians screen for depressive symptoms at least yearly.
大约 8%的美国人口报告有两周或两周以上的中度或重度抑郁,与非西班牙裔白人(2.6%)相比,拉丁裔(3.7%)报告的重度抑郁率更高(Pratt 和 Brody,2014)。随着拉丁裔人口在美国的持续增长,关于抑郁的表现以及这如何对家庭系统产生长期影响的研究甚少。
基于脆弱家庭与儿童健康研究的数据,采用三步潜在类别分析方法,研究了父母自我报告的抑郁症状及其子女在 9 年内对与父母亲近和沟通开放程度的感知之间的关联(N=3956 个家庭)。
拉丁裔父母报告了四种不同的抑郁模式,而非西班牙裔父母则在潜在类别分析方面更加多样化,有六种模式。拉丁裔父母报告间歇性症状,而非西班牙裔父母则更有可能随着时间的推移报告慢性抑郁症状。无论种族/族裔如何,父母的抑郁症状都会对其子女报告的与母亲和父亲亲近和沟通开放程度产生负面影响。
与任何自我报告数据一样,社交期望偏差的风险仍可能存在。此外,这些结果不能推广到更广泛的美国。
由于在 9 年内存在不同的心理健康表现,并遵循联邦倡议(国家心理健康研究所,2015)进行早期和持续监测,我们建议临床医生和初级保健医生每年至少对抑郁症状进行一次筛查。